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Patent
   D665023
Priority
Aug 15 2011
Filed
Aug 15 2011
Issued
Aug 07 2012
Expiry
Aug 07 2026
Inventors
Schirmer, …
Assg.orig
Bernd, Sch…
Christoffe…
Assg.curr
SCHIRMER, …
SMIT, CHRI…
Entity
unknown
Referenced by
5
References
6
Maint.:
n/a
The ornamental design for a form, as shown and described.

FIG. 1 is a front view of a form in accordance with the new design; and,

FIG. 2 is another front view thereof.
INVENTORS:

Schirmer, Bernd

THIS PATENT IS REFERENCED BY THESE PATENTS:
Patent Priority Assignee Title
D730981, Apr 07 2014 Myriad Genetics, Inc Form
D759538, Jun 20 2013 Pure Grains of Gold, LLC Negotiable instrument
D764579, Apr 07 2014 Myriad Genetics, Inc Form
D764580, Apr 07 2014 Myriad Genetics, Inc Form
D764581, Apr 07 2014 Myriad Genetics, Inc Form
THIS PATENT REFERENCES THESE PATENTS:
Patent Priority Assignee Title
D376386, May 04 1995 DEUTSCHE BANK AG NEW YORK BRANCH Business form
D437881, Aug 08 1996 Qwest Communications International Inc Business paper
D535690, Aug 11 2005 Laser Substrates, Inc. Customs declaration form
D615599, Apr 28 2008 Johor Corporation Game money
D628626, Feb 04 2010 Allstate Insurance Company Reporting sheet
D641040, Sep 30 2010 Casualty care form
ASSIGNMENT RECORDS    Assignment records on the USPTO
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Executed onAssignorAssigneeConveyanceFrameReelDoc
Aug 15 2011Bernd, Schirmer(assignment on the face of the patent)
Aug 15 2011Christoffel Johannes, Smit(assignment on the face of the patent)
Dec 14 2011SCHIRMER, BERNDSCHIRMER, BERNDASSIGNMENT OF ASSIGNORS INTEREST SEE DOCUMENT FOR DETAILS 0274250046 pdf
Dec 14 2011SCHIRMER, BERNDSMIT, CHRISTOFFEL JOHANNESASSIGNMENT OF ASSIGNORS INTEREST SEE DOCUMENT FOR DETAILS 0274250046 pdf
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